Akissi Régine Attia-Konan1, Agbaya Serge Stéphane Oga1, Kouamé Koffi1, Jérôme Kouamé1, Amadou Touré2, Luc Kouadio1
Catastrophic healthcare expenditure (CHE) occurs in all countries and is
responsible for inequalities in access to health care, particularly in lowand
middle-income countries. The objective of this work is to analyse the
determinants of CHEs in households living in Côte d'Ivoire. The data for the
study are from the national household living standards survey conducted
from January 23 to March 25, 2015 by the National Statistics Institute of
Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way
analysis and logistic regression were conducted to measure the association
between CHEs and the socio-demographic, economic and health
characteristics of households. The sample consisted of 12,899 households.
Nearly 4% of households had experienced CHEs after completing OOPs.
CHEs were more frequent in households including people over 65 years of
age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI:
1.43-3.08), with more comfortable living conditions. Households without
health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85)
with large households including people over 65 years of age (OR: 0.60
95% CI: 0.40-0.91). This work highlighted socio-demographic and health
determinants of CHEs. The reduction of CHEs involves considering social
and individual factors.
